Exploration into the application of preoperative autologous blood donation for orthopedic surgery

Objective: To explore the application and indication of preoperative autologous blood donation for orthopedic surgery. Methods: Preoperative blood transfusion program was employed for 40 orthopedic patients. An observation was made on the changes in Hb, RBC, HCT, both preoperatively and 2 days, 1 week, 2 weeks after surgery. Adverse reaction and complication after blood transfusion were also recorded. Results: The total amount of autotransfusion was 15 600 ml, which accounted for 84.8% of the total blood transfusion during surgery. 35 patients (87.5%) were autotransfused, while the other 5 (12.5%) required additional homologous blood. No adverse reaction or complication occurred in all patients. Conclusion: Preoperative autologous transfusion is safe and effective. The patients with an amount of bleeding estimated to be below 600 ml or with a blood preparation required during surgery are suitable for preoperative autologous blood donation.